Chapter 360 Walking on the edge of taboo
"system!"
Ruan Bin recited silently in his heart.
The next second, the system came out.
【System Points】: 222,400
【Partial hepatic resection】: World-class + (traditional open laparoscopy)
"upgrade!"
"Dingdong...Deduct 13,000 points, [Partial Liver Resection] - Innovation Level!"
boom……
A huge memory was integrated into his mind.
...
At this time, outside.
In the audience, guests from all walks of life and some bigwigs who were specially invited to watch the competition were slightly surprised when they saw the semi-final exam questions on the electronic screen.
Because this year's semi-final exam questions are more unexpected than in previous years, and the difficulty is also very high!
"Of all these thirty candidates, probably one-quarter of them have the ability to take the zero-egg test!" Chen Chengquan looked at the test questions on the electronic screen and said to Bai Xiaofei beside him.
Bai Xiaofei happened to rest today, so he rushed over to chat with his teacher and cheered up his senior brother.
"This year's semi-finals and finals test questions in our Magic City preliminary round are also more difficult than in previous years. I don't know why the above did this." Bai Xiaofei said in confusion.
"In fact, there are benefits and disadvantages to doing this. The advantage is that it is an advantage for which top hospitals and first-class hospitals. But it is a headache for players in which ordinary hospitals. For example, the tumor on the liver is twice as big as the liver. You need to estimate how much of the liver needs to be removed? With so many resections, can the remaining residual liver be restored to 1,160 ml of the doctor's liver volume in the short term, and thus restore normal compensation function!"
"If the resection exceeds the tolerance range, if it directly leads to liver failure, it means that the operation fails or the operation is ineffective at the beginning! So for every candidate, this time it is not just a surgery, but the first step is to take judgment. If the judgment is wrong, even if the subsequent operation is successful, it is equivalent to failure!" Chen Chengquan said in a deep voice.
"Teacher, you are talking about the main purpose of estimating the range of liver resection, right? What kind of limit can you reach?" Bai Xiaofei asked.
"right!"
…………
In the examination room.
Ruan Bin looked at it for a few minutes, and based on the information given in the test questions and the various problems on the props, he began to make a judgment in his mind.
"Dear examiners, I already have the answer." Ruan Bin said.
"Please say it."
"I estimate that more than 2,200 ml of liver will be removed. The volume ratio of liver removal will be about 79%, and the volume of residual liver will be about 21%. " Ruan Bin said in a deep voice.
As soon as this sentence was expressed, the three examiners in the exam changed slightly! According to the current recognized standards in the world, the maximum proportion of safe liver resection in normal adults is 75%.
In other words, the biggest critical point of resection is to remove 75% of the liver. But now the resection rate mentioned in Ruan Bin has reached 79%!
Exceeding the internationally recognized standard tipping point!
It is approaching the critical point, which means that the patient may experience liver failure after surgery, with a great risk of surgery and a very high mortality rate. But now it has exceeded the critical point by 4%!
This young doctor is bold enough!
However, it was not this that changed the faces of the three examiners slightly, but Ruan Bin's accurate and most perfect judgment rate made their faces slightly change!
This question was given by an academician from Peking Union Medical College Hospital, and he personally designed various parameters and lesions, etc.
The data given by him is: the maximum limit can be used to remove about 2,200 ml of liver, and the volume of liver removal reaches 79%! The remaining residual liver volume is about 21%!
Of course, this surgery can be removed by 75%, but there are flaws. Perhaps if the removal of 75%, there will be a high probability of recurrence.
But if 79% is removed, it is definitely the most perfect resection ratio.
There is no way, this is the design of this surgery, because the tumor on the liver is twice as big as the liver! It is an extremely difficult surgery.
"Okay, then you can start the surgery." One examiner looked at each other with the other two, and then said to Ruan Bin.
"Yes." Ruan Bin nodded.
So he started surgery.
At this time, the three examiners began to evaluate the first half of Ruan Bin first.
That is, scores for predicting how many livers need to be removed.
This time the scoring method is different from before.
Evaluation scores 50 points, surgery scores 50 points.
"The estimate is completely accurate, not bad at all, I'll score 50!"
"I'll also be 50!"
"Me too……"
…………
Next, Ruan Bin started the operation.
He has an innovative partial hepatic resection, of course he is easy to get it.
Let these examiners see what Fengchi Dianzhi means, clean and neat, pure and natural!
This operation was completed in just half an hour!
Although there are many steps that do not require the surgery and only part of the liver tumor can be removed, it usually takes about 2 hours.
It will take more than an hour for a master to do it.
But look at this young handsome doctor, after half an hour, he removed the tumor weighing 1.8093 kilograms.
The bleeding volume is very small, only 100 ml!
Perfect!
What is the case when there is no bleeding and rupture of the large blood vessel?
You should know that so many livers have been removed, and the blood vessels inside are huge, which can easily be injured by accident!
It's simply crazy temptations walking on the edge of the penalty area to death.
But the person in front of him is still so fast!
"Is it because this is a prosthetic prop that he is not afraid of problems during surgery? This leads to his abnormal speed?" A examiner couldn't help but express his guess.
"Maybe there is no psychological burden. However, once there is a mistake during the operation, the prosthetic props will also cause various major bleeding, and there will be problems. Because the blood of all the arteriovenous blood vessels in the prosthetic props will immediately bleed!"
"And his speed is so fast, all of them are zero mistakes. I think his surgical level has reached a terrifying level."
"Give a score."
"49 points! In addition, I scored 50 points before, and a total of 99 points!"
"I'll give you 48 points, plus the original one, 98 points!"
“…”
Walk out of the examination room.
Ruan Bin came to Vice President Lin’s side.
At this time, I actually saw Vice President Lin and Professor Chen Chengquan chatting.
"Hello, Professor Chen." This was the second time he saw Chen Chengquan, and Ruan Bin said hello politely.
At the same time, he also found that Bai Xiaofei was actually here too.
"Ruan Bin, it's been a long time since I saw Ruan Bin." Chen Chengquan looked at him with appreciation.
"You're out of the exam so soon?" Chen Chengquan looked at the time, and more than half an hour had passed.
Chapter completed!